PMID- 25960417
OWN - NLM
STAT- MEDLINE
DCOM- 20160125
LR  - 20221207
IS  - 1531-4995 (Electronic)
IS  - 0023-852X (Linking)
VI  - 125
IP  - 11
DP  - 2015 Nov
TI  - 1064-nm Nd: YAG laser-assisted cartilage reshaping for treating ear protrusions.
PG  - 2461-7
LID - 10.1002/lary.25294 [doi]
AB  - BACKGROUND: Correction of prominent ears is a common plastic surgical procedure. 
      The laser-assisted cartilage reshaping (LACR) technique for protruding ears was 
      developed at the French National Institute of Health and Medical Research in 
      Lille, France, using both the 1064- and 1540-nm wavelengths, with a view to 
      simplifying the surgical procedure. Herein we report our results with the 1064-nm 
      wavelength. METHODS: Between 2008 and 2010, twenty-six 1064-nm LACR procedures in 
      14 patients were performed. Twelve patients received treatment to both ears, and 
      2 patients received treatment to one ear. Each procedure consisted of a single 
      treatment session. The treatment consisted of laser irradiation of both sides of 
      the helix with single pulses of 70 J/cm2. The beam diameter was 6 mm. Early and 
      late complications were defined and reviewed for all patients. Satisfaction was 
      assessed by patients using a visual analogue scale from 0 (unsatisfied) to 20 
      (highly satisfied). The superior and middle cephaloauricular distances were 
      prospectively evaluated at 6 months after treatment. RESULTS: Complications 
      included eight cases of localized skin burns and one case of dermatitis. The mean 
      right/left superior and middle cephaloauricular distances were 10.5+/-1.5 
      mm/10.7+/-1.0 mm and 16.3+/-2.2 mm/16.3+/-2.8 mm, respectively, as compared to 17.5+/-2.9 
      mm/18.6+/-2.5 mm (P<0.01) and 24.5+/-2.6 mm/24.7+/-1.7 mm (P<0.01) before the 
      operation. Mean patient satisfaction was 16.8/20+/-3.3. CONCLUSION: Despite 
      promising results for cartilage reshaping, the 1064-nm LACR procedure often leads 
      to skin burns and inflammatory tissue reaction after treatment. Moreover, LACR 
      with the 1064-nm wavelength is painful and necessitates local anaesthesia. LEVEL 
      OF EVIDENCE: 4.
CI  - (c) 2015 The American Laryngological, Rhinological and Otological Society, Inc.
FAU - Leclere, Franck Marie
AU  - Leclere FM
AD  - French National Institute of Health and Medical Research U1189, Lille University 
      Hospital, University of Lille, Lille Regional University Hospital Center (f.m.l., 
      s.m.), Lille.
AD  - the Department of Plastic Surgery, Transsexual Surgery and Hand Surgery, Centre 
      Francois-Xavier-Michelet, Bordeaux Hospital University Center (f.m.l.), Bordeaux 
      Cedex, France.
AD  - the Department of Plastic Surgery and Hand Surgery, Inselspita Bern, University 
      of Bern (f.m.l.), Bern, Switzerland.
FAU - Mordon, Serge
AU  - Mordon S
AD  - French National Institute of Health and Medical Research U1189, Lille University 
      Hospital, University of Lille, Lille Regional University Hospital Center (f.m.l., 
      s.m.), Lille.
FAU - Alcolea, Justo
AU  - Alcolea J
AD  - the Department of Plastic Surgery and Hand Surgery, Inselspita Bern, University 
      of Bern (f.m.l.), Bern, Switzerland.
AD  - Instituto Medico Vilafortuny, Fundacion Antoni de Gimbernat (j.a., p.m-c., m.v., 
      m.t.), Cambrils, Spain.
FAU - Martinez-Carpio, Pedro
AU  - Martinez-Carpio P
AD  - the Department of Plastic Surgery and Hand Surgery, Inselspita Bern, University 
      of Bern (f.m.l.), Bern, Switzerland.
AD  - Instituto Medico Vilafortuny, Fundacion Antoni de Gimbernat (j.a., p.m-c., m.v., 
      m.t.), Cambrils, Spain.
FAU - Velez, Mariano
AU  - Velez M
AD  - the Department of Plastic Surgery and Hand Surgery, Inselspita Bern, University 
      of Bern (f.m.l.), Bern, Switzerland.
AD  - Instituto Medico Vilafortuny, Fundacion Antoni de Gimbernat (j.a., p.m-c., m.v., 
      m.t.), Cambrils, Spain.
FAU - Trelles, Mario
AU  - Trelles M
AD  - the Department of Plastic Surgery and Hand Surgery, Inselspita Bern, University 
      of Bern (f.m.l.), Bern, Switzerland.
AD  - Instituto Medico Vilafortuny, Fundacion Antoni de Gimbernat (j.a., p.m-c., m.v., 
      m.t.), Cambrils, Spain.
LA  - eng
PT  - Journal Article
DEP - 20150509
PL  - United States
TA  - Laryngoscope
JT  - The Laryngoscope
JID - 8607378
SB  - IM
MH  - Adult
MH  - Aged
MH  - Ear Cartilage/*surgery
MH  - Ear, External/*abnormalities
MH  - Humans
MH  - Lasers, Solid-State/*therapeutic use
MH  - Middle Aged
MH  - Patient Satisfaction
MH  - Prospective Studies
MH  - Plastic Surgery Procedures/methods
OTO - NOTNLM
OT  - 1064-nm laser
OT  - 1540-nm laser
OT  - cartilage reshaping
OT  - ear protrusion
OT  - fluence
EDAT- 2015/05/12 06:00
MHDA- 2016/01/26 06:00
CRDT- 2015/05/12 06:00
PHST- 2015/02/17 00:00 [revised]
PHST- 2015/03/05 00:00 [accepted]
PHST- 2015/05/12 06:00 [entrez]
PHST- 2015/05/12 06:00 [pubmed]
PHST- 2016/01/26 06:00 [medline]
AID - 10.1002/lary.25294 [doi]
PST - ppublish
SO  - Laryngoscope. 2015 Nov;125(11):2461-7. doi: 10.1002/lary.25294. Epub 2015 May 9.